Publications

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• Medicare Clearance Form W-9

  Medicare Clearance Form.

• Medicare Savings Program Application W-1QMB

  Medicare Savings Program Application.

• Medicare Savings Program Application W-1QMBS - Versión en Español

  Formulario de Renovación de programas de ahorro de Medicare - Versión en Español.

• Mental Health Waiver Annual Report for April 1, 2014- March 31, 2015 (DSS & DMHAS)

  The Mental Health Home and Community-Based Services (HCBS) Waiver is designed for adults with serious mental illness who are being discharged or diverted from nursing home care. This Medicaid Waiver provides participants with the medical and psychiatric services and supports necessary to live independently in the community.

• New Haven Behavioral Health Provider Agrees to Settlement, Suspension to Resolve False Claims Act Allegations

  New Haven Behavioral Health Provider Agrees to Settlement, Suspension to Resolve False Claims Act Allegations

• New State Partnership Connects Child-Support Clients with Employment Services; Three Agencies Launch Initiative to Promote Family Success and Stability

  New State Partnership Connects Child-Support Clients with Employment Services; Three Agencies Launch Initiative to Promote Family Success and Stability

• Notice and Application - CAA Funding Opportunity - Community Health Worker Program

• Notice of Intent to Amend Medicaid Waivers For Individual and Family Support and Employment and Day Supports

  In accordance with the provisions of section 17b-8(c) of the Connecticut General Statutes, notice is hereby given that the Commissioner of Social Services intends to submit the following two applications to the Centers for Medicare and Medicaid Services (“CMS”),

• Notice of Intent to Amend Medicaid Waivers For Individual and Family Support and Employment and Day Supports

  In accordance with the provisions of section 17b-8(c) of the Connecticut General Statutes, notice is hereby given that the Commissioner of Social Services intends to submit the following two applications to the Centers for Medicare and Medicaid Services (“CMS”).

• Notice of Intent to Amend the Individual and Family Support, Employment and Day Supports & Comprehensive Supports Waivers

• Notice of Intent to Amend to the Comprehensive Supports Medicaid Waiver, Individual and Family Support Medicaid Waiver, and Employment and Day Supports Medicaid Waiver.

• Notice of Intent to Renew and Amend the Autism Waiver

• Notice of Intent to Renew and Amend the Mental Health Home and Community-Based Services Waiver

• Notice of Intent to Renew and Amend the Personal Care Assistance Medicaid Waiver

• Notice of Intent to Renew Connecticut Home Care Program for Elders Medicaid Waiver.